Licensing and Regulation Division PO Box 43098 Olympia WA 98504-3098 360-664-1600 Fax 360-753-2710 www.liq.wa.gov License No _____________________________________ Trade Name ____________________________________ UBI No ________________________________________ ADDED ACTIVITIES – FOR TAVERNS 1. Do you want any of the following activities? If so, please select your choice(s), sign, date, and return his document. Live music/DJ Music Yes _____ No _____ Dancing Yes _____ No _____ Karaoke Yes _____ No _____ Comedy Shows Yes _____ No _____ Other: ____________________________________________________________ 2. Outside Service Yes _____ No _____ Offer beer and wine for outside service. The outside service area may be a deck or patio. It must be enclosed with barriers a minimum of 42 inches high. If you are within the city limits of Seattle, you must obtain approval for outside service from the City of Seattle. Please call the Seattle Police Department (206) 684-5418 for assistance. Note: Taverns are not required to serve food in the outside service area. Signature Date LIQ 855-50-4/07 American LegalNet, Inc. www.FormsWorkflow.com